- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- Molina Healthcare (Dayton, OH)
- …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Molina Healthcare (Detroit, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Contract Specialists on negotiation of individual provider and routine ancillary contracts . * Identified as contract system lead by developing and… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Director, Contracting to manage key divisional initiatives that support Managed Care Contracting. The Contracting Program Manager will be responsible for ... managing projects, organizing and maintaining contract inventory, and understanding key timelines...contracts to serve as the operational backbone for Managed Care Contracting . This position is… more
- Molina Healthcare (Sterling Heights, MI)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Mercury Systems (Hudson, NH)
- …25-498 Job Description Job Summary: Mercury Systems is seeking a Senior Principal Contracts Manager in support of Mercury's Processing Technologies Business Unit ... and a proactive, detail-oriented approach. + The Senior Principal Contracts Manager will be required to deal...degrees of contractual and meeting requirements supported by the contracts group. Contracts managed will… more
- Sharp HealthCare (San Diego, CA)
- …and written communication; excellent knowledge of Managed Care , Health Care Finance, Manage Care Contracts ; experience in PC computer utilization ... Self-funded, risk adjusted contracts , dental, and government contracts with CalPers and the Exchange. Contract ...Health Care Administration or similar equivalent health care experience is required. **Essential Functions** + Contract… more
- Fresenius Medical Center (Inglewood, CA)
- …POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Dignity Health (Bakersfield, CA)
- …and compliance standards are met. + **Strategic Partnerships** + Collaborate closely with the Managed Care COO to ensure contract compliance and successful ... Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health...of five years (5) of direct management / people manager experience in health care . + Medical… more
- Deloitte (Los Angeles, CA)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... and enhancements for technology and business processes through long-term contracts ? Join us where you will have the opportunity...is where ambition meets opportunity. As a Deloitte Senior Manager , you will have the opportunity to lead and… more
- Mount Sinai Health System (New York, NY)
- …and Amendments, financial performance for all contracts , and facility, ancillary related contract negotiations. The Managed Care Team is at the forefront ... Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical… more
- Providence (Irvine, CA)
- **Description** ** Contracts Manager \*Hybrid This position is responsible for leading or participating as a team member in negotiations with Payors for ... acceptable reimbursement terms and contract language for all entities... language for all entities within the continuum of care (ie hospitals, physician organizations, home health and hospice… more
- Commonwealth Care Alliance (Boston, MA)
- …years + Experience working in a health care or managed care setting with specific background in contract negotiations and management. + Specific ... Contracting **Position Summary:** Under the direction of the Senior Contract Manager , Provider Contracting, the Senior Provider...background in complex managed care provider contracting including Health Systems,… more
- Novant Health (NC)
- …degree, required. Graduate Degree, preferred. Minimum of three years of experience in Managed care contracting, operations, or Government payors (ie, Mcr, Mcd). ... creates negotiation analytics and strategy for revenue from commercial and government contracts including performance and value-based care incentives. The Payor… more
- Hartford HealthCare (Hartford, CT)
- …**Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* **Location:** *Connecticut-Hartford-100 Pearl Street ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr....Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- AdventHealth (Maitland, FL)
- …department leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the ... building and maintenance of rates and terms into designated contract management systems for physician and ancillary contracts...to keep them informed of any concerns related to managed care reimbursement and operational contract… more
- CommonSpirit Health (Phoenix, AZ)
- …ensure contract compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and implemented for operational ... **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy &...for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly… more
- Elevance Health (Woodbridge, VA)
- ** Managed Care Coordinator** **Location:** The candidate should be located in Spotsylvania or Fredericksburg, VA. **Field** : This field-based role enables ... an accommodation is granted as required by law._ The ** Managed Care Coordinator** is responsible for overall...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... **Duration: 3+** Months (Possible Contract to hire) **Job Description:** + Onsite Training...direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans.… more
Related Job Searches:
Care,
Contracts,
Contracts Manager,
Managed,
Managed Care,
Manager,
Manager Managed Care